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Replacement Leg Strap, Foam or Fabric

New Hampshire rates for HCPCS A5114

Leg strap; foam or fabric, replacement only, per set

Rates data updated July 2026.

How much does Replacement Leg Strap, Foam or Fabric cost?

$6.76

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $6.76 for this service. The price depends on where it is billed: about $6.76 from a physician practice, and about $5.62 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$6.76$6.03 to $9.33
FacilityA hospital or hospital-owned outpatient department$5.62$5.62 to $6.76

How much rates vary

Facilitymedian $6 · 10th to 90th $5 to $7Professionalmedian $7 · 10th to 90th $5 to $9
$5$10$20facility $6professional $7

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$6.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$5.62
Typical High
$6.76
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$6.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.90
Median
$7.59
Typical High
$8.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$8.32
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$17.38
United
Setting
Facility
Modifier
Global
Typical Low
$2.88
Median
$4.79
Typical High
$6.17
United
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$6.46
Typical High
$9.33
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$14.13

Where New Hampshire sits

The same service costs 4.8 times more in Hawaii than in Rhode Island. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New Hampshire· 41st of 51

$6.76

HI $26.92RI $5.62

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.